Docsity
Log inSign up
Docsity
Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity

Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips
Guidelines and tips
Sell on Docsity
Sell on Docsity
Log inSign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search Store documents

The best documents sold by students who completed their studies

Search through all study resources
Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents
download point icon20 Points

For each uploaded document

Answer questions
download point icon5 Points

For each given answer (max 1 per day)

All the ways to get free points
Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

University Rankings

Discover the best universities in your country according to Docsity users

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

From our blog

Exams and Study
Go to the blog

NHA EKG Certification Exam Questions and Answers, Exams of Nursing

Nightingale Medical InstituteNursing

A comprehensive set of multiple-choice questions and answers covering various aspects of ekg interpretation and procedures. It is designed to help individuals preparing for the nha ekg certification exam. The questions cover topics such as heart rate and rhythm analysis, lead placement, stress testing, and patient care. This resource can be valuable for students and professionals seeking to enhance their knowledge and skills in ekg.

Typology: Exams

2023/2024

Available from 12/17/2024

TUTOR1
TUTOR1 šŸ‡ŗšŸ‡ø

3.7

(20)

4K documents

1 / 25

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
1 / 24
NHA EKG CERTIFICATION EXAM Questions
and Answers Latest Versions 2024 GRADED
A+
1. The patient is hyperventilating during a stress test which action should
take first
A. Administer Oxygen
B. Stop the test
C. Check respiratory rate
D. Slow down the test: C. Check respiratory rate
2. A patient wears a cardiac monitor at home which indicates understanding
of patient instructions?
A. I can shower with monitor on
B. The monitor will keep track of my activities
C. I can use my electric blanket while wearing my monitor
D. If the batteries fail I can replace them: D. If the batteries fail I can replace them
3. What speed setting can you adjust for a patient experiencing Accelerated
Junctional Rhythm?
A. 10mm/sec
B. 20mm/sec
C. 25mm/sec
D. 50mm/sec: D. 50mm/sec
4. What setting would you use and regulate the height of waveforms?
A. Output display
B. Speed
C. Artifact Filter
D. Gain: C. Artifact Filter
5. What position would you use for a Nuclear Stress Test while camera
scanning?
A. Supine with arms at their sides
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19

Partial preview of the text

Download NHA EKG Certification Exam Questions and Answers and more Exams Nursing in PDF only on Docsity!

NHA EKG CERTIFICATION EXAM Questions

and Answers Latest Versions 2024 GRADED

A+

  1. The patient is hyperventilating during a stress test which action should take first A. Administer Oxygen B. Stop the test C. Check respiratory rate D. Slow down the test: C. Check respiratory rate
  2. A patient wears a cardiac monitor at home which indicates understanding of patient instructions? A. I can shower with monitor on B. The monitor will keep track of my activities C. I can use my electric blanket while wearing my monitor D. If the batteries fail I can replace them: D. If the batteries fail I can replace them
  3. What speed setting can you adjust for a patient experiencing Accelerated Junctional Rhythm? A. 10mm/sec B. 20mm/sec C. 25mm/sec D. 50mm/sec: D. 50mm/sec
  4. What setting would you use and regulate the height of waveforms? A. Output display B. Speed C. Artifact Filter D. Gain: C. Artifact Filter
  5. What position would you use for a Nuclear Stress Test while camera scanning? A. Supine with arms at their sides

B. Upside down on monkey bars C. Lying on right with arms extended D. Sitting up with tilted back: C. Lying on right with arms extended

  1. What lead corresponds to electrical activity of the septal wall? A. AVL and V
  1. The smallest box of time on the EKG graph paper indicates what length of time? A. 0.02 sec B. 0.04 sec C. 0.40 sec D. 0.10 sec: B. 0.04 sec
  2. What activity should you record in the Holter monitor diary? A. Sleeping B. Who they have a crush on C. Driving D. Bike Riding: D. Bike Riding
  3. How would you resolve wandering baseline on an EKG? A. Relieve the tension from the wires B. Clean the lead wires after each use C. Provide a blanket to the patient D. Have the patient remove any personal electronic devices: D. Have the patient remove any personal electronic devices
  4. What position should you use for a patient who is 35 weeks of gestation? A. Supine with head elevated B. Partially upright with legs supported C. Slightly on left side with pillow supporting right hip D. Ew Gestation: C. Slightly on left side with pillow supporting right hip
  5. What would you recognize as the expected pule range for a 2 - year old Patient? A. 60 bpm B. 75bpm C. 120bpm D. 150bpm: C. 120bpm
  6. A patient states he runs 6 miles a day. What is the correct response you should make as the technician? A. Continue activities as usual while wearing the monitor B. Increase your cardiac meds while wearing the monitor

C. Talk to the provider about the activity while wearing the monitor D. Take someone with you while wearing the monitor: A. Continue activities as usual while wearing the monitor

  1. What statement properly prepares the patient for Telemetry? A. I will clean you with alcohol pads B. You may feel a warming sensation after the electrodes are placed on the skin C. Get Naked D. Electrodes will be replaced once a week while in the hospital: A. I will clean you with alcohol pads
  2. Which action should you take during a stress test? A. Report any abnormal dysrhythmias B. Evaluate the need for the patient to follow and exercise program C. Prescribe oxygen if the patient reports shortness of breath D. Report the results to the nursing supervisor: A. Report any abnormal dys- rhythmias
  3. The technician notices that none of the leads are giving a read. Which lead should you check first? A. right arm B. Left arm C. Right leg D. Left leg: C. Right leg
  4. Which statement should be entered as social history into the medical records? A. I have smoked a long time B. My parents both had heart attacks C. I had surgery a year ago D. I had chicken pox when I was a child: A. I have smoked a long time
  5. What action should you take when preparing a patient for a 12 lead EKG? A. Have the patient ask questions during the procedure B. Instruct the patient to hold their breath C. Place the leads over their hairy chest
  1. What patient instructions should you include about the use of a Trans telephonic monitor with loop memory? A. Press the record button n the device when you feel dizzy or have chest pain B. Remove the monitor when connecting to the internet C. Record a notation in the diary about the activity when the pain started D. Contact the continous monitoring facility when the chest pain occurs: A. Press the record button n the device when you feel dizzy or have chest pain
  2. In a 12 lead EKG what information is recorded by Lead I? A. electrical activity between right arm and leg B. Electrical activity between right arm and left arm C. Electrical activity between left arm and left leg D. Electrical activity between left leg and right leg: B. Electrical activity between right arm and left arm
  3. The patient is experiencing heart palpitations what interventions would you expect the provider to provide? A. Holter monitor B. Vasodilator medication C. Cardiac medication D. Chemical Stress Test: A. Holter monitor
  4. What is the best place to measure the heart rate for a patient who is having a stress test? A. Carotid Pulse B. Radial Pulse C. Femoral Pulse D. Brachial Pulse: B. Radial Pulse
  5. During a stress test what finding would a provider stop the test? A. Electrode detachment B. Dizziness C. Sweating D. Increased respiratory rate: B. Dizziness
  6. Using the 1500 method to calculate heart rate you identify 10 small boxes between the R and R waves. What is the heart rate?

A. 170/min B. 150/min C. 160/min D. 140/min: B. 150/min

  1. What location would take an apical pulse (over the heart)? A. Thumb side of the wrist B. Between the 5th and 6th rib at the left midclavicular line C. The antecubital space over the elbow D. Between the larynx and sternocleidomastoid: B. Between the 5th and 6th rib at the left midclavicular line
  2. Which lead is placed over the right sternum 4th intercostal space? A. Lead V B. Lead I C. Lead AVR D. Lead MCI: B. Lead I
  3. Using the six second method of calculating heart rate you observe 4 R waves on the 6 second strip. What is the heart rate? A. 40 bpm B. 70 bpm C. 30 bpm D. 50 bpm: A. 40 bpm
  4. Where should you place the ground electrode for a patient who is on telemetry? A. Upper right arm B. Upper left arm C. Left lower leg D. Right lower leg: D. Right lower leg
  5. Where should you place V1 for a patient who have dextrocardia? A. Left sternal border 4th ICS B. Right sternal border 4th ICS C. Left midclavicular space 5th ICS D. Right midclavicular space 5th ICS: A. Left sternal border 4th ICS

B. Sinus dysrhythmia C. Tachycardia D. Bradycardia: D. Bradycardia

  1. Which leads are created between the left arm and left leg? A. AVF B. AVL C. Lead III D. Lead II: C. Lead III
  2. What indicates understanding of patient Holter monitor instructions? A. I can shower and bathe B. I can use lotions around the electrodes C. I should activate the event monitor if I have chest pain D. I should only record activities that cause chest pain: C. I should activate the event monitor if I have chest pain
  3. Which contact precautions should the technician take when leaving an inpatient room? A. Wear a N- 95 Mask B. Disinfect the EKG Machine before entering the room C. Remove gloves when leaving the room D. Keep the patient's room closed: C. Remove gloves when leaving the room
  4. Where should you store leads when not in use? A. Loose on the cart B. In a folded plastic bag C. In an open plastic bag D. In the original foil-lined bag: D. In the original foil-lined bag
  5. What heart block is indicated with signs of decreased cardiac output that may lead to cardiac arrest. A. First degree heart block B. Second degree heart block Mobitz I C. Second degree heart block Mobitz II D. Third degree heart block: D. Third degree heart block
  1. What is allowable patient disclosure based on HIPAA guidelines? A. Patients can write names on sign-in sheets at the registration desk B. Employer calls to find out about an absent employee C. A patient can view another Patient's record on the computer D. An employee gives a coworker their computer password: A. Patients can write names on sign-in sheets at the registration desk
  2. What method would you use to prepare a patient for application of electrodes? A. Use a razor to shave hair from a patient B. Cleanse the skin with chlorhexidine C. Use tape to remove the hair D. Cleanse the skin with povidone iodine: C. Use tape to remove the hair
  3. You hear a staff member making statements about a patient's appear- ance. What type of tort is this? A. Libel B. Assault C. Slander D. That Wrong Doe: C. Slander
  4. What is the expected BP range for an adolescent patient? A. 60/40mm hg B. 78/48mm hg C. 86/60mm hg D. 98/78mm hg: B. 78/48mm hg
  5. What are expected infection control practices in healthcare? A. Artificial nails should not exceed 0.5in in length B. Use alcohol-based sanitizer if no visible contamination is present C. Remove soiled gloves prior to touching uncontaminated surfaces D. Wear gloves while performing different tasks on the same patient: C. Remove soiled gloves prior to touching uncontaminated surfaces
  6. A patient is performing a posterior EKG on a patient. Which lead should place at the praspinous border. A. V
  1. Which site would you place a heart card during trans telephonic monitor- ing event? A. Over the right side of the chest B. Over the left side of the chest C. Over the middle to the lower part of the sternum D. Over the manubrium: C. Over the middle to the lower part of the sternum
  2. Which finding would you report to the provider during a stress test? A. Decreased heart rate B. Increased heart rate C. Increased sweating D. Decreased premature beats: A. Decreased heart rate
  3. What action should you take after attaching telemetry lead wires to the electrodes? A. Check the EKG tracing for monitor activity B. Check the wire colors to ensure attachment to correct electrodes C. Place the patient in the correct position D. Tape the lead wires to the patient's skin to prevent electrode disconnec- tion: B. Check the wire colors to ensure attachment to correct electrodes
  4. What patient would you expect to see somatic interference from? A. A patient sweating profusely B. Seizure patient C. A patient watching TV D. Patient using a cell phone: B. Seizure patient
  5. What response would give to a patient who doesn't understand why he has worn a Holter monitor after an EKG? A. Ambulatory is different than an EKG B. The provider want to study your heart over time C. We usually place a monitor after the EKG D. The provider wants to conduct another test before addressing concerns- : B. The provider want to study your heart over time
  6. What is the correct placement for lead V4?

A. 5th ICS Midclavicular line B. 4th ICS Midaxillary line C. 5th ICS Midaxillary line D. 4th ICS Midclavicular line: A. 5th ICS Midclavicular line

  1. What term would document the rhythm of a pulse? A. Weak B. Strong C. Bounding D. Irregular: D. Irregular
  2. What term would you use to create Lead I II and AVR? A. Left arm B. Right arm C. Left leg D. Right leg: B. Right arm
  3. What is a normal PR interval? A. 0.12-0.20 sec B. 0.08-0.12 sec C. 0.04-0.12 sec D. 1500 sec: A. 0.12-0.20 sec
  4. What method could you use to calculate for both regular and irregular rhythms? A. 6 - second method B. P-P method C. 1500 method D. 300 method: A. 6 - second method
  5. What statement would you give when preparing a patient for an exercise stress test? A. Patient Movement B. Expired Electrodes C. Crossed lead wires D. Insufficient skin prep: C. Crossed lead wires

C. Libel D. Battery: C. Libel

  1. What is used to determine ventricular depolarization? A. P-P interval B. R-R interval C. QT interval D. PR interval: B. R-R interval
  2. What method would a technician use to calculate heart rate from an EKG tracing? A. Calculate the mean using the 1500 method B. Count the number of small boxes in two cardiac cycles C. Divide the number of large boxes between the R Waves D. Count the boxes between the P and T waves: C. Divide the number of large boxes between the R Waves
  3. What is the most accurate method for measuring a patient's body tem- perature? A. Oral B. Axillary C. Temporal D. Tympanic: C. Temporal
  4. You notice an accelerated idioventricular rhythm on a tracing. What ac- tion should you take? A. Tell the patient the findings and ask if she feels different B. Call for help and stay with the patient C. Ask a technician to run another EKG D. Upload the tracing to the EHR and notify the provider: B. Call for help and stay with the patient
  5. What is an expected finding of impaired condition through the AV node? A. Decreased QT interval B. Prolonged QRS interval C. Prolonged QT interval D. Prolonged PR interval: D. Prolonged PR interval
  1. What action should you take if a patient calls and complains of chest pain with SOB while wearing a Holter monitor? A. Have someone call EMS and stay on the phone with patient B. Remind the patient to document the incident in the diary C. Place the patient on hold and contact the provider D. Tell the patient to hang up and call 911: A. Have someone call EMS and stay on the phone with patient
  2. You observe ST elevation while monitoring a stress test. What does this indicate? A. EKG changes due to running B. EKG changes due to hypokalemia C. signs of pulmonary edema D. Signs of myocardial injury: D. Signs of myocardial injury
  3. Where would you place the right leg electrode for a patient who has a below the knee amputation on the left leg? A. On the lower right foot B. On the lower left abdomen C. On the lower left torso D. On the lower right legs: D. On the lower right legs
  4. What is the expected adult body temperature? A. 35C to 36C 95F to 96F B. 36.1 to 36.4C 96.9F to 97.5F C. 36.5C to 37.5C 97.7F to 99.0F D. 37.3C to 37.6 99.1F to 99.7F: C. 36.5C to 37.5C 97.7F to 99.0F
  5. What would you do if you're having trouble taking respirations? A. Instruct the patient to take deeper breaths B. Document as not being accessed C. Place the hand on the back to count respirations D. Estimate the rate based on the pulse: C. Place the hand on the back to count respirations
  6. How would you protect patient information in compliance with HIPAA? A. Send an encrypted file to the employer

C. 25mm/sec D. 50mm/sec: C. 25mm/sec

  1. A patient becomes disaphoretic during a stress test. What condition may this indicate? A. Transient Ischemic Attack B. Cerebral Vascular Accident C. Congestive Heart Failure D. Myocardial Infarction: D. Myocardial Infarction
  2. Where should you place leads for V7, V8, and V9? A. On the back between the axillary line and vetebral column 5th ICS B. Right side of the chest 5th ICS C. Axillary space 5th ICS D. Sixth ICS: A. On the back between the axillary line and vetebral column 5th ICS
  3. What is the normal range for the PR interval? A. 0.08-0.10 sec B. 0.12 to 0.20 sec C. 60 - 100bpm D. Greater than 0.20 sec: B. 0.12 to 0.20 sec
  4. Signs and symptoms of cardiopulmonary distress: diaphoresis, cyanosis, syncope, low blood pressure, sob, weakness, nausea and vomiting
  5. when can patient information be discussed?: during quality assurance meetings
  6. where can't patient information be discussed?: in public settings
  7. what factors can affect a patients vital signs?: stress, food/drink intake, medical conditions, age, and physical activity
  8. what does blood pressure do?: identifies the force of blood circulating through the arteries
  9. when is the systolic pressure measured?: when ventricles contract
  10. when is the diastolic pressure measured?: when ventricles relax
  11. expected blood pressure range?: systolic: less than 120 diastolic: less than 80
  1. elevated blood pressure range?: systolic: 120 - 129 diastolic: less than 80
  2. high blood pressure stage 1 range ?: systolic: 130 - 139 diastolic: 80 - 89
  3. high blood pressure stage 2 range?: systolic: 140 or greater diastolic: 90 or greater
  4. hypertensive crisis range?: systolic: 180 or greater diastolic: 120 or greater
  5. Radial Pulse: thumb side of wrist, most common area to measure pulse for adults
  6. Brachial Pulse: inside upper arm, most common site to measure pulse for children
  7. Carotid Pulse: neck just below jaw bone, most common site to measure pulse in medical emergencies
  8. what position should the patient be in when taking blood pressure and pulse?: sitting, resting position with their feet flat on the ground
  9. Average heart rate for a newborn (1 month): 120 - 160
  10. average heart rate for an infant (1- 12 months): 80 - 140
  11. average heart rate for a toddler (1- 3 years): 80 - 130
  12. average heart rate for a pre-school aged child (3- 5 years): 80 - 120
  13. average heart rate for a school- age child (6- 15 years): 70 - 100
  14. average heart rate for an adult ( 15 years and older): 60 - 100
  15. what does a holter monitor do?: monitor the electrical activity of the heart over 24 to 48 hours (sometimes longer) using three or five leads. It can detect problems that occur transiently
  16. what should the technician ensure when putting a holter monitor on?: 1. The patient's chest is clean and dry prior to attaching the electrodes
  17. The patient is fully informed of the requirements and restrictions. Cooperation and adherence are needed for accurate testing
  18. The patient has the provider/office phone number for any questions while wearing the monitor
  19. what should the technician instruct the patient to do with the holter monitor?: 1.Bathe prior to the scheduled appointment if they know the monitor will be attached. During the testing, avoid bathing or showering.